21D2274822 CLIA NUMBER - CCRM NORTHERN VIRGINIA

Laboratory Demographics

  • CLIA Code: 21D2274822
  • Facility Name: CCRM NORTHERN VIRGINIA
  • Facility Address: 14995 SHADY GROVE RD SUITE 430
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 571 789-2100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CHELSEY A. LEISINGER
  • NPI Number: 1598297269
  • Taxonomy: 261QA0006X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2274822
LAB Type Physician Office
Facility Name CCRM NORTHERN VIRGINIA
Street 14995 SHADY GROVE RD SUITE 430
City ROCKVILLE
State MD
ZIP 20850
Phone 571 789-2100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director DR. CHELSEY A. LEISINGER

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This page was last updated on: 9/29/2025